Prajnawati Wibowo is a Psychiatric/Mental Health Nurse Practitioner based in Dallas, TX and is specialized in Psychiatric/Mental Health. Prajnawati Wibowo practices in Dallas, TX and has the professional credentials of NP. The NPI Number for Prajnawati Wibowo is 1760959696 and holds a License No. AP139122 (Texas).
The current practice location address for Prajnawati Wibowo is 5301 Alpha Rd Ste 80-3, Dallas, TX and can be reached out via phone at 682-215-1691 and via fax at 682-267-4840.
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AP139122 | 01 | TX | LICENSE |
| XW5044653 | 01 | TX | DATA 2000 WAIVER |
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